Tampons, an efficacious way of menstrual protection, are used by over a million women worldwide during menstruation. According to a 2023 assessment, all substances used in tampon production met safety margins, with no adverse effects observed in clinical trials and minimal impact on vaginal microbiota, ensuring their safe use for menstruating women [1]. However, recent findings have raised concerns about the presence of heavy metals such as arsenic, lead and cadmium in tampons [2]. This contamination poses significant public health risks to millions of women worldwide, calling for immediate attention and action. The widespread use of tampons, along with the vaginal epithelium’s high absorption of the these toxins found in them, increases their bioavailability and risk of adverse effects like heavy metal poisoning [3].

The detection of traces of lead, arsenic, and cadmium in tampons is especially alarming because of their well-established toxicity. Lead, a toxin with no known safety levels, can leach from tampons and enter the circulation, remaining in bone tissue and body for decades. Long-term exposure, even at low levels of 10 µ g/dL in blood, can result in neurological, renal, cardiovascular, and reproductive complications, including cognitive decline in adults and children. Inorganic arsenic is known to cause cancer cardiovascular, respiratory, and neurological disorders. Vaginal exposure to arsenic could disrupt oxidative mechanisms in reproductive organs, highlighting the unique risks posed to women’s health. Cadmium negatively impacts renal and cardiovascular function [2, 4].

Preventing heavy metal exposure from tampons requires several key actions. Public health initiatives, such as awareness campaigns and regular screenings for vulnerable groups, are vital for early detection and prevention. Educating the public on the risks of metal exposure through tampons is essential, as is monitoring high-risk groups for early symptoms of heavy metal poisoning like skin irritation. Natural chelating agents such as garlic, cilantro, and chlorella can aid in removing heavy metals from the body, serving as a natural defense against exposure [5]. Implementing these measures can significantly reduce the health risks associated with heavy metal poisoning from tampons.

Given the widespread use of tampons and their intimate contact with sensitive tissue, immediate measures and certain directions towards safe use are essential. For risk reduction, women should avoid tampons with metal applicators, maintain hand hygiene before handling tampons, and frequently change tampons after a couple of hours. Alternatively, women should consider switching to relatively safer menstrual hygiene products like sanitary pads and organic menstrual cups. We urge the regulatory authorities to take immediate action. Comprehensive investigation into tampon manufacturing processes, stricter safety standards for heavy metal content, and transparent labeling of ingredients and contaminants are necessary. The scientific community must prioritize research into alternative, safer materials for feminine hygiene products, and the manufacturers must ensure rigorous testing and quality control measures. These steps are crucial for safeguarding women's health.